Knoxville Hospital And Clinics

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 16D0382866
Address 1002 South Lincoln Street, Knoxville, IA, 50138
City Knoxville
State IA
Zip Code50138
Phone(641) 842-2151

Citation History (1 survey)

Survey - July 16, 2024

Survey Type: Standard

Survey Event ID: 80SZ11

Deficiency Tags: D2009

Summary:

Summary Statement of Deficiencies D2009 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The individual testing or examining the samples and the laboratory director must attest to the routine integration of the samples into the patient workload using the laboratory's routine methods. This STANDARD is not met as evidenced by: Based on review of Wisconsin State Laboratory of Hygiene (WSLH) proficiency testing (PT) records and confirmed by laboratory personnel identifier #1 (refer to the Laboratory Personnel Report) at 9:45 am on 07/16/2024, the laboratory director failed to attest to the routine integration of PT samples into the patient workload for five out of five PT events from 10/01/2022 - 07/16/2024. The findings include: 1. For 2022 event 3, the laboratory director did not sign the BloodGas3 PT attestation statement. 2. For 2023 event 1, the laboratory director did not sign the BloodGas1 PT attestation statement. 3. For 2023 event 2, the laboratory director did not sign the BloodGas2 PT attestation statement. 4. For 2023 event 3, the laboratory director did not sign the BloodGas3 PT attestation statement. 5. For 2024 event 1, the laboratory director did not sign the BloodGas1 PT attestation statement. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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